Claim total
$1,572.23
base $93.39 · payer covered $1,257.78
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2015-12-01
- Stop
- 2015-12-01
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-a634-4e4a955ed056